The Mental Health Investigation of Survivors from Earthquake in Wenchuan China_West China Medical Journal

Authors：

HUANG Xuehua ¹ , LIANG Xuemei ¹ , ZHANG Jiancheng ²

Mental Health Center, West China Hospital of Sichuan University, Chengdu 610041,China;

Corresponding author：

Keywords：

心理健康; SCL-90; 创伤; 地震

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目的:了解汶川大地震自然灾难对幸存者心理健康状况的影响。方法:在地震发生后1月内采用SCL-90对地震灾区幸存者进行心理健康状况评估。结果:SCL-90各因子分中,躯体化、抑郁、焦虑及敌对因子灾区幸存者均高于常模,其余各因子灾区幸存者均低于常模;男性、女性之间和不同文化程度之间比较, SCL-90总均分及各因子分差异均无统计学意义(P均 gt;0.05);不同居住地之间比较,躯体化、恐怖和偏执因子差异有统计学意义。其中,躯体化症状中,居住农村者均分最高(2.06±1.23),其次为山区幸存者(1.75±0.47),城市幸存者最轻(1.63±0.51)(P= 0.042),而在恐怖、偏执因子分中,居住山区者最高(1.36±0.68;1.59±0.79),其次为农村(1.15±0.39;1.34±0.45),城市最低(1.07±0.30;1.25±0.35)(P均= 0.015)。结论:特大地震自然灾难给幸存者造成的心理创伤很普遍,需要对幸存者进行及时的心理危机干预,政府卫生部门在制定救援政策时有必要纳入心理危机干预计划。

Citation： HUANG Xuehua,LIANG Xuemei,ZHANG Jiancheng. The Mental Health Investigation of Survivors from Earthquake in Wenchuan China. West China Medical Journal, 2009, 24(4): 1003-1005. doi: Copy

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1.
2. 张明园,主编.精神卫生评定量表手册[M].长沙:湖南科学技术出版社,1993:16-41..
3. METIN B A, SOGLU, EBRU S, et al. Traumatic Stress Responses in Earthquake Survivors in Turkey[J]. Journal of Traumatic Stress, 2002,15,(4):269–276..
4. SANDRO GALEA, ARIJIT NANDI, DAVID VLAHOV.The Epidemiology of Post-Traumatic Stress Disorder after Disasters[J]. Epidemiologic Reviews,2005;27:78–91..
5. J ZOHAR, Y SASSON, D AMITAL, et al. Current diagnostic issues and and Epidemiological Insights in PTSD[J]. CNS Spectrums, 1998,3(7-Suppl.2):12-14..
6. YEHUDA R, MCFARLANCE A C. Conflict between current Knowledge about posttraumatic stress disorder and its original conceptual basis[J]. Am J Psychiatry,1995,152:1705-1713..
7. VEYSEL YILMAZ, SENGUL CANGUR H, ERAY C ELIK. Sex difference and earthquake experience effects on earthquake victims[J]. Personality and Individual Differences, 2005,39:341–348..

West China Medical Journal

The Mental Health Investigation of Survivors from Earthquake in Wenchuan China

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